| Nicole Lee Stephens, PA-C | |
|
7400 Sw 87th Ave Ste 100, Miami, FL 33173-5458 | |
| (786) 204-4201 | |
| (786) 591-6001 |
| Full Name | Nicole Lee Stephens |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 6 Years |
| Location | 7400 Sw 87th Ave Ste 100, Miami, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699390351 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | MA061601 (Pennsylvania) | Secondary |
| 363A00000X | Physician Assistant | PA9119664 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Luke's Hospital - Upper Bucks Campus | Quakertown, PA | Hospital |
| St Luke's Hospital Bethlehem | Bethlehem, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Lukes Physician Group Inc | 6709798333 | 2161 |
| Entity Name | St Lukes Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700984622 PECOS PAC ID: 6709798333 Enrollment ID: O20040226000062 |
| Entity Name | Gslpg, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366006702 PECOS PAC ID: 7810226875 Enrollment ID: O20190917001763 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Lee Stephens, PA-C Po Box 198054, Atlanta, GA 30384-8054 Ph: (786) 662-7980 | Nicole Lee Stephens, PA-C 7400 Sw 87th Ave Ste 100, Miami, FL 33173-5458 Ph: (786) 204-4201 |
Claudia Paulina Guzman, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 8900 N Kendall Dr, Miami, FL 33176 Phone: 786-596-2000 Fax: 305-279-7778 |
Patrice Neil, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3100 Sw 62nd Ave, Miami, FL 33155 Phone: 305-666-6511 |
Mrs. Amy Saumell Correoso, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 7800 Sw 87th Ave, Suite C-300, Miami, FL 33173 Phone: 305-274-0221 Fax: 305-274-7775 |
Mrs. Yanisse Leonor Bonilla, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8940 N Kendall Dr Ste 101e, Miami, FL 33176 Phone: 305-667-8686 Fax: 305-667-8680 |
Ismara Alvarez Sanchez, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 12905 Sw 42nd St Ste 213, Miami, FL 33175 Phone: 786-507-8830 Fax: 786-294-6802 |
Clelia Isabel Soto De Cayama, SA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7310 Sw 132nd Ave, Miami, FL 33183 Phone: 786-451-5563 |
Ms. Shannon Melissa Chin, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8950 N Kendall Dr Ste 504w, Miami, FL 33176 Phone: 786-595-0555 |